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10.22543/2392-7674.1488
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

The Role of Computed Tomography and Esophageal Ultrasonography in the Preoperative Evaluation of Esophageal Cancer Resection

by
Vasile Cosmin Obleagă
1,
Dan Ionuț Gheonea
2,
Ioana Andreea Gheonea
3,
Cecil Sorin Mirea
1,
Emil Moraru
1,*,
Mihai Călin Ciorbagiu
1,
Ionică Daniel Vîlcea
1 and
Tiberiu Ștefăniță Cojan-Țenea
1
1
Department of Surgery, University of Medicine and Pharmacy of Craiova, Craiova, Romania
2
Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
3
Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, Craiova, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2024, 11(2), 511-520; https://doi.org/10.22543/2392-7674.1488
Submission received: 2 May 2024 / Revised: 2 June 2024 / Accepted: 24 August 2024 / Published: 30 October 2024

Abstract

Objectives. Esophageal cancer is one of the most aggressive types of cancer, with a 5-year relative survival rate of only 18%-20.5%. Survival is highly dependent on accurate positive diagnosis and staging, in which the imaging modalities available have a primary role. The study is focused on the analysis of the preoperative T and M staging strategy and the reliability of computed tomography and endoscopic esophageal ultrasound in predicting resectability. A second objective was to evaluate the influence of preoperative imaging modalities on decreasing the number of unnecessary thoracotomies and laparotomies. Material and Methods. This study was conducted on a lot of 97 consecutive esophageal cancers, admitted in the Second General Surgery Clinic of Emergency County Hospital No. 1 of Craiova, between January 2007 to December 2019. We recorded patient data, imaging details and staging, as well as intraoperative aspects and tactics. For statistical analysis we have used chi square test. Conclusions. Computed tomography is not a basic investigation in the T-category evaluation of the TNM stage, the accuracy of the method being extremely variable with the T-stage, the type of CT scan. The maximum utility of CT remains in the identification of invasion of neighboring organs and the operability of the case. Despite the differences in the accuracy, sensitivity and specificity of computed tomography and endoscopic ultrasound in esophageal cancer, the use of these imaging methods is essential in staging esophageal cancer and establishing the therapeutic indication.
Keywords: esophageal cancer; computed tomography; endoscopic ultrasound; surgery esophageal cancer; computed tomography; endoscopic ultrasound; surgery

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MDPI and ACS Style

Obleagă, V.C.; Gheonea, D.I.; Gheonea, I.A.; Mirea, C.S.; Moraru, E.; Ciorbagiu, M.C.; Vîlcea, I.D.; Cojan-Țenea, T.Ș. The Role of Computed Tomography and Esophageal Ultrasonography in the Preoperative Evaluation of Esophageal Cancer Resection. J. Mind Med. Sci. 2024, 11, 511-520. https://doi.org/10.22543/2392-7674.1488

AMA Style

Obleagă VC, Gheonea DI, Gheonea IA, Mirea CS, Moraru E, Ciorbagiu MC, Vîlcea ID, Cojan-Țenea TȘ. The Role of Computed Tomography and Esophageal Ultrasonography in the Preoperative Evaluation of Esophageal Cancer Resection. Journal of Mind and Medical Sciences. 2024; 11(2):511-520. https://doi.org/10.22543/2392-7674.1488

Chicago/Turabian Style

Obleagă, Vasile Cosmin, Dan Ionuț Gheonea, Ioana Andreea Gheonea, Cecil Sorin Mirea, Emil Moraru, Mihai Călin Ciorbagiu, Ionică Daniel Vîlcea, and Tiberiu Ștefăniță Cojan-Țenea. 2024. "The Role of Computed Tomography and Esophageal Ultrasonography in the Preoperative Evaluation of Esophageal Cancer Resection" Journal of Mind and Medical Sciences 11, no. 2: 511-520. https://doi.org/10.22543/2392-7674.1488

APA Style

Obleagă, V. C., Gheonea, D. I., Gheonea, I. A., Mirea, C. S., Moraru, E., Ciorbagiu, M. C., Vîlcea, I. D., & Cojan-Țenea, T. Ș. (2024). The Role of Computed Tomography and Esophageal Ultrasonography in the Preoperative Evaluation of Esophageal Cancer Resection. Journal of Mind and Medical Sciences, 11(2), 511-520. https://doi.org/10.22543/2392-7674.1488

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